| NPI | 1073983755 |
|---|---|
| Doing Business As | SOUTHWEST ORAL AND IMPLANT SURGERY |
| Entity Type | Organization |
| Authorized Contact | JASON HULLETT Owner/Oral Surgeon 201-407-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 31059) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |